Dr Lisa Marie Schrock, MD | |
1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 | |
(314) 577-5600 | |
Not Available |
Full Name | Dr Lisa Marie Schrock |
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Gender | Female |
Speciality | Pediatrics |
Location | 1465 South Grand Blvd. Ssm Glennon Care -, St. Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821218637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 102917 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Mailing Address | Practice Location Address |
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Dr Lisa Marie Schrock, MD 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 Ph: (314) 577-5600 | Dr Lisa Marie Schrock, MD 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 Ph: (314) 577-5600 |
Patrick Francis Durkin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Place, 3rd Floor, Suite 3s34, St. Louis, MO 63110 Phone: 314-454-6006 | |
Donna R Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379 | |
Shulamit Menashe Portnoy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-577-5609 Fax: 314-268-4028 | |
Felicia L. Harvey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 West Florissant, St. Louis, MO 63033 Phone: 314-838-8220 Fax: 314-838-8091 | |
Mary S Heaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379 | |
Dr. Kristen M Mennemeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131 Phone: 314-569-2112 Fax: 314-569-1270 | |
Lauren Marie Hayes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 Phone: 314-577-5600 Fax: 314-577-5616 |